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Dominion Youth Services
Mental Illness Community Based Residential Treatment Facility in Roanoke, Virginia
NPI 1811180458

Dominion Youth Services is a Mental Illness Community Based Residential Treatment Facility based in Richmond, VA. Dominion Youth Services practices in Roanoke, VA. The NPI Number for Dominion Youth Services is 1811180458 and holds a License No. 406-14-004 (Virginia).

The current practice location address for Dominion Youth Services is 7002 Dallas Rd, Roanoke, VA and can be reached out via phone at 540-366-5073 and via fax at 540-366-5074.

Location: 7002 Dallas Rd, Roanoke, VA, 23255-0296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811180458
Provider Name
Dominion Youth Services
Credential
Provider Entity Type
Organization
Address
7002 Dallas Rd, Roanoke, VA, 23255-0296
Phone Number
540-366-5073
Fax Number
540-366-5074
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7002 Dallas Rd
City
Roanoke
State
Virginia
Zip
24019-1510
Phone Number
540-366-5073
Fax Number
540-366-5074
person
Provider Business Mailing Address Details
Address
7002 Dallas Rd
City
Roanoke
State
Virginia
Zip
24019-1510
Phone Number
540-366-5073
Fax Number
540-366-5074
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
406-14-004 (Virginia)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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